Nokea
A group of students is reviewing medications used to treat erectile dysfunction. The students demonstrate understanding of the information when they identify which of the following as being administered by injection?
- A. Tadalafil
- B. Papaverine
- C. Alprostadil
- D. Vardenafil
Correct Answer: C
Rationale: Alprostadil (C) is administered by injection for erectile dysfunction. Tadalafil (A) and vardenafil (D) are oral PDE5 inhibitors, and papaverine (B) is less commonly used today.
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A client with erectile dysfunction who is prescribed sildenafil asks the nurse, When should I take the medication? Which response by the nurse would be most appropriate?
- A. You should take it every morning when you first get up.
- B. Take it about ½ to 2 hours before you have sexual activity.
- C. You need to take it about 5 minutes before you have intercourse.
- D. Take it at night before bedtime.
Correct Answer: B
Rationale: Sildenafil should be taken ½ to 2 hours before sexual activity (B) for optimal effect. Daily morning (A) or bedtime (D) dosing is incorrect, and 5 minutes (C) is too short for absorption.
When describing the events associated with the determination of sex of a fetus, which of the following would the nurse most likely include in the discussion?
- A. Genes on the Y chromosome
- B. Formation of ovaries
- C. Rising testosterone levels
- D. Neurochemical inhibition
Correct Answer: A
Rationale: Genes on the Y chromosome (A), particularly the SRY gene, initiate male sex determination by triggering testicular development. Ovary formation (B) and testosterone rise (C) are outcomes, not primary events, and neurochemical inhibition (D) is not relevant.
A client has been admitted to the inpatient psychiatric facility as part of a court-ordered program. The client was arrested numerous times over the past several months for exposing his genitals and masturbating in public in front of an elementary school. The nurse interprets this behavior as reflecting which of the following?
- A. Frotteurism
- B. Exhibitionism
- C. Sexual masochism
- D. Voyeurism
Correct Answer: B
Rationale: Exhibitionism (B) involves exposing genitals in public for sexual gratification, matching the client?s behavior. Frotteurism (A) involves non-consensual touching, masochism (C) involves self-inflicted pain, and voyeurism (D) involves observing others.
A client with premature ejaculation is prescribed sertraline as part of the treatment plan. The nurse explains the medication to the client, informing him that the effectiveness of the drug will most likely be evident in approximately which time frame?
- A. 5 to 7 days
- B. 1 to 2 weeks
- C. 3 to 4 weeks
- D. 6 to 8 weeks
Correct Answer: C
Rationale: Sertraline, an SSRI, typically takes 3 to 4 weeks (C) to achieve therapeutic effects for premature ejaculation by modulating serotonin levels. Shorter time frames (A, B) are too brief, and 6 to 8 weeks (D) is more typical for depression.
A group of nursing students is reviewing information about sexual development. The students demonstrate understanding of the information when they describe biosexual identity as which of the following?
- A. Conviction of belonging to the male or female gender
- B. Outward expression of gender
- C. Sexual attraction to opposite, same, or both sexes
- D. Anatomic and physiologic state of being male or female
Correct Answer: D
Rationale: Biosexual identity refers to the anatomic and physiologic state of being male or female (D), based on biological characteristics like chromosomes and reproductive anatomy. Conviction of gender (A) is gender identity, outward expression (B) is gender role, and sexual attraction (C) is sexual orientation.